加味百合固金汤治疗AECOPD并呼吸衰竭患者临床疗效观察

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Clinical effect observation of Modified Baihe GujinDecoction in treating AECOPD combined with respiratory failure

吕雪莹

（广州市增城区中医医院，广东广州，511300）

中图分类号：R256.12 文献标识码：A 文章编号：1674-7860（2016）12-0027-03 证型：GBA

【摘要】目的：探讨加味百合固金汤治疗慢性阻塞性肺疾病急性加重期（AECOPD）并呼吸衰竭患者的临床疗效。方法：将AECOPD并呼吸衰竭证属阴虚痰阻型患者54例随机分为对照组与治疗组，两组均予西医常规治疗，治疗组加用加味百合固金汤治疗。比较两组治疗前后的疗效、血气分析改变。结果：治疗7 d后，两组患者症状、体征、血气分析相比较，差异具有统计学意义（P＜0.05）。结论：运用加味百合固金汤治疗AECOPD并呼吸衰竭患者，疗效优于单纯西医对照组，能改善缺氧及二氧化碳潴留情况。

【关键词】慢性阻塞性肺疾病急性加重期（AECOPD）；呼吸衰竭；百合固金汤；中西医结合治疗

【Abstract】Objective:Toinvestigate the clinical efficacy of modified Baihe Gujin Decoction in treatingAECOPD combined with respiratory failure. Methods: 54 patients with AECOPD andrespiratory failure were randomly divided into the control group and thetreatment group, both groups were treated with conventional western medicine,and the treatment group received added modified Baihe Gujin Decoctiontreatment. The efficacy and changes of blood and Qi analysis in two groups werecompared. Results:After 7 days oftreatment, the symptoms, signs and blood and Qi analysis of two groups were compared,the differences were statistically significant（P＜0.05). Conclusion: The application ofmodified Baihe Gujin Decoction in the treatment of AECOPD patients withrespiratory failure had better curative effect than that of simple westernmedicine control group. Modified Baihe Gujin Decoction could relieve hypoxiaand carbon dioxide retention.

【Keyword】Acute Exacerbation of Chronic Obstructive Pulmonary Disease(AECOPD);Respiratory failure; Baihe Gujin Decoction; Combined treatment of TCM and westernmedicine

doi:10.3969/j.issn.1674-7860.2016.12.013

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